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�� � <br /> O� x <br /> C H <br /> > H fn <br /> H �� <br /> ��� r '/ n <br /> H �� CZTY OF EV£RETT DnTE=�ly/JQ <br /> NHr � <br /> �y� 3 ' ELECTRIC7IL WIRING PERbfIT APPLICATION FEE � ,�� <br /> O� d �� (�� � � � <br /> i'°-i ena g aoe awnxsss ��(n �C l �9.{i� V I��t,l t� ��C/!k� . l..,11 i��5.�=r�lc%S <br /> CI Y C] q /w <br /> � <br /> Z y TENANT IiLL�J ��fli/�V���l . <br /> �� <br /> �y y� PROPERTY OWNER 'S{'�'YLlC% Il�S ��I3 v V� <br /> �C� �:.ECTRICAL CONTRACT07 (it_/V LO(� �IV C ' <br /> [�l <br /> y o y CONTRACTOR'S ADDRESS I (� I S I Z�- rlf Q"VG � i 21�t.f�N17�� '�`� <br /> CITY ZIP <br /> . LICENSE N0. 'S 1I A�I I�I T_ ;� IO I J� � EXPIRATSON ❑?�T� /"�(����f� _ <br /> . ADMINISTRATOA 1"7�'rFl /��� �N PHONE NO. �7�j�1�" IZ��tJ � <br /> � VALUE OF WORK `n ! �J •U� (do not include taxes) <br /> (fo= commerical woxk? <br /> ' USE OF BUILDING ���( �/UT� /�"I ��W GLLL NG�] <br /> I <br /> � NOTE: WAC 296-46-140 zequires that plans for electrical wock at educational, <br /> � institutional or health care facilities be approved by the State of Washington. <br /> ; Applicants with such jobs must ehow the State appro�•ed plans bef�re a City <br /> '�t � of Ecerett pezmit will be issued. - <br /> �_, NOTE: Wiring in non dwellings is reguired to be in conduit. <br /> ' ' � WORK TO BE DONE: <br /> '�' I � l.`� /�" �,r,r�f'/7GZ. '� C''CD1'1,1��5/��1'l ' O GIC�4 <br /> � ✓ <br /> � <br /> ��' � . <br /> �e� / 7 � �a <br /> � <br /> , �,, �, <br /> '�f SIGNGD: �� (� �� /� ��ln DATE: 'CJ <br /> �1 <br /> �'� <br /> 3/27/90 <br />